| Title | Reanimation of the paralyzed face by indirect hypoglossal-facial nerve anastomosis. | | Author(s) | Manni JJ, Beurskens CH, van de Velde C, Stokroos RJ | | Institution | Department of Otorhinolaryngology, Head and Neck Surgery, University of Maastricht, P.O. Box 5800, 6202 AZ, The, Maastricht, Netherlands. J.J.MANNI@KNO.AZM.NL | | Source | Am J Surg 2001 Sep; 182(3):268-73. | | MeSH | Adolescent
Adult
Aged
Anastomosis, Surgical
Child
Facial Nerve
Facial Paralysis
Humans
Hypoglossal Nerve
Middle Aged
Prospective Studies
Tongue
Treatment Outcome
| | Abstract | BACKGROUND: The results of indirect hypoglossal facial nerve anastomosis with interposition of a free nerve graft, end-to-end to the periferal facial nerve stump, and end-to-side to the hypoglossal nerve are prospectively evaluated. This technique is supposed to overcome loss of hypoglossal function.
METHODS: Tongue function in 39 consecutive patients and facial reanimation in 29 patients who completed 24 months follow-up were assessed. Facial nerve function was judged using the House-Brackmann (HB) grading system.
RESULTS: Tongue movements were normal in all operated on patients. Initial facial movements occurred on average 7.5 months postoperatively. The results were graded HB II in 6 (20.9%), HB III in 13 (44.6%), HB IV in 7 (24.1%), HB V in 2 (6.8%) patients, and HB VI in 1 (3.4%) patient. The results were significantly better in young patients and when a short time interval between paralysis and surgery existed.
CONCLUSIONS: Indirect hypoglossal-facial anastomosis is the preferred technique in most patients for whom the classical direct hypoglossofacial anastomosis is indicated. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 11587691 |
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